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Individual

DR. EDWARD M TAPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 VIRGINIA RANCH RD, SUITE 101B, GARDNERVILLE, NV 89410-5731
(775) 782-2442
(775) 783-6199
Mailing address
973 MICA DR, SUITE 201, CARSON CITY, NV 89705-7255
(775) 783-6190
(775) 783-6191

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
3279
NV
207X00000X
Orthopaedic Surgery Physician
Primary
C29083
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C290830
MEDI-CAL
CA
05
2003061
NV
01
CC6621
BCBS
NV
01
P00722837
MEDICARE RAILROAD
NV
Enumeration date
11/03/2005
Last updated
10/04/2010
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